4309 Fox Ridge RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4309 Fox Ridge Rd
Lot: 9 Block: 3 Addition: Sun Cliff 5th
PID:10- 72979 - 090 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Window Store LLC
9909 S Shore Dr
Suite 270
Plymouth MN 55441
(763) 412 -4280
Expired Perm
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Closed w/o Required Inspections. Letter sent to homeowner 1 -16 -09 pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered
required in all sleeping rooms prior to final
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Owner:
John C Rukavina
4309 Fox Ridge Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA082990
05/12/2008
ePermit
Smoke detectors are
CITY OF EAGAN Remarks
Addition SUN CLIF.F FIF'I'H Lot ? Blk Parcel- 10 7297-9 090 03-
Owner Street 4309 Fox Ridge Road State MN 55122 x_
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. L? 1985 2,$ 1 0q,-73 A*
STREET RESTOR. (j 1986 1622. 2 324.44 5 110.2.2. 2D
GRADING
San Sew Lat 1986 502.5 100.52 5 ?O
SAN SEW TRUNK T ?
] .84 2.? 1(o •Q ?Q -7
SEWER LATERAL g
1
q 257.00 51.40 r5 ,• O O O 7 ?o
Water Lateral Q 198 582.46 116.49 S ?'
WATERMAIN " 19$5 64•55 4•31 15 6-5•0,5,
20 C'O
WATER LATERAL
WATER AREA r 1973 . O 4.58 1 (p J.. 116m(, (A
Q 1$ 106.94 .1 1 9i .70 o ',-// 7 6
STORM SEW TRK d 1971 214.60 10.73 20 oO /;7 G
STORM 5EW LAT 1985 86-95 5•$o 15 -75, 37 670 O L?
Storm Sew Lat 1986 739.56 147.91 5 da
CURB & GUTTER
$IDEWALK
STREET LIGHT '
Services /47 1986 529.15 105.83 5
'In
WATER CONN.
BUILDING PER. 1121
SAC
PARK
I
??. .
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-81 Q0
BUILDING rERMIT Recelpt
To b! wed t?r Est. Volue ' Dote •-' - - 19
Site Address - Erect OccuRancy j
Lot Block Sec/Sub. ' ;.? Remodel
? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
W Name ' Move ? Length
Address Demolish ? Depth
? Int Impr. ? Sq. Ft.
City Phone ? Install ?
? Approvals fees
Name
gu Addreas /,ssessment Permit . 1 ?
City Phone
Water S Sew. ?
SurCharge ,O
Police Plan Review
?W Neme ' Fire SAC
?Z ? Address .. V
Enp. ?
WaterConn.
? W City Phone ?•'• -1 ? Plonner Water Meter
Council Roed Unit ? _ l1 0
I hercby acknowledge fhat I hove read this applitotion ond stote thaf gld9,,pff. ' ti Tr pl ? 03
the informotion is torrect ond cgree to comply with all applicable
Stote of Minnesota Statutes ond City of Eagan Ordinances. APC
D
V
Perk$
ar.
ate Copies
Sipnoturc of Pe?mittee Totat 0
h Bulldiny Pennit Is issued to: ;`. on tha express conditlon thoi
oll work shall be dons in occordonce with oll applicable State of Minrx
Buildfnp Offidol aota Stntutes ond City o# Eapon Ordinonces.
Permk No. Pwmk HoldN Dsts Teiephone ?e
?urnbinw C rYv U I? YY5 ?S
H.VA.C.
Ei6cWc
Sottaner
Irapeetion Oate Insp• Other
Footlnys I
Footlnys 11
Foundation
F?aminy •i, ? zt) ,
Roofing
Rouyh Plbp. ? /- - L I//SlG4[ -G
Rouyh Htg. _ /N rL
Inwl. ? ?y •
Finolace
Flnal Hty. alpq?b ?.
Fin.l Plbg.
Final
Cwt/Occ. 7?1v -Vr ,
Wstar DKeribe Location:
WII
Sswer
Pr. Dlv.
?
PERMIT # CITY
MECHAI
RECEIPT # 2 i? 4
MINIMUM RESIDE
DATE MINIMUM COMME
.,...?..
PERMIT
FEE - $10.00 + $.50
FEE - $20.00 + $.50
FEE .? Y. A
sic
TOTAL ' '30 12 1. Bldg. Type: Res X-- Comm Inst 2. New -?C- Add Alter eR pair
3. Total Bid Price 4. Job Address 44301 G.Y,
Lot ? Block ? Sec ?- ? 5. Owner K?-
6. Contractor t Yo " 15146% +t ; O JAlcc -35 Z
(Name) ?. (Street) (City) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
?- - ?HEATING 2L VENTILATING HOT WATER STEAM AIR COND.
` IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
t RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
G5.
COMM./I' . RATF,-19rqFTfTAL BI?D P,RICE PLUS $.SOSTATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: o
4 ?U
'Approved Inspections: Date Rough Insp. Date Final Insp.
? _'
t PLUMBING PERMIT
R
i Permit No
e .
p
ce .
CITY OF EAGAN
Fes
Fill in numbered spaces S/C
Type or Print /egib/y .
Tot.
1. Date .' 2. Installation Cost
3. Job Address Lot Blk. Tract '
4. Owner
5. Contractor ' Phone
6. Address
7. City State • Zip
8. Building Type: Residential ? Commercial ? institutional ?
9. Work Description: New ? Add ? Alter O Repair O
1 10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
- - -
Slop Sink
Gas Piping Outlets ?
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes govefning this type of work.
Signed : - ' ?
for
Rough Final
Inspections: Date Insp. Date Insp. ?j
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-a100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: «]"Ce
3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
"I'i t i I f Y `.• I fi : i! ?.' j ??.' ?.ei,
PERMIT SUBTYPE:
TYPE OF WORK:
II, 1.it:il4-iN I I I I iNni
$ rr
°j.§
PermR No. Pormft Holdsr Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. Commenta
FODTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYP 80ARD
FIREPLACE I
FIREPLACF
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Krsob Rosd
P. O. Box 21199 ., PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: _ No. of Units: `
Owrnr: ?eylend Homea
Addrm-
Mdretx ? 309 f.nx rcidrE ':: _ ? . , ... ? . - •
PltMnber.
'
MMer No.: ConnecHon Chor9s:
aG•.
Size: Accounrt Deposit:
.
Reoder No.: Permit Fee:
.
1oNw !o osw* wNh /4 Cify of E+pw Surcharfla:
"wwaa.
Miac. G+ows: i J
.
Total: 0-00p4 meter
By Dotr Pcid:
Date of Insp.: leMp.:
CITY OF EAGAN
3830 Pilot Knob Road SEWO sERVICE P ERMff
P. O. Box 21199 PERMIT NO.:
Ea
an
MN 55121 DATE:
,
g
Zonlrq: No. of Unlts:
i?
Owrwr:
/4ddress: -
Site Address: , _ .
Ptumber
.
I qm te aeM* wib tw Ciqr oF iossn Conr»ction O+ome:
OeNMweM. Account Deposif:
Parmit Fae:
Surchorpe:
By Mi.c. Charos:
Dote of Irnp.:
Toeai:
DoN Poid: -
OF EAGAN WATER SERVICE PEItNUT
'ilot ICnob Road
iox 21199 . PERMIT NO.:
, MN 'S5121 D/1TE: ? t
r. P1 No. of Units:
.:c..v. ,111omes
/lddreaa:
No.:
1 pn? h eo?woly wllh fM ? 1?! ?•U.? .- p .
?INOpR ?d ( , ... p11SC? .
t, n neter
Totol: - '
?By Dote Peid:
DoRe of Irqp.: Irop.:
/?? L7- ??
CITY OF EAGAN N°_ 1 1 181
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 4548100
BUILDING PERMIT
, SF DWG/GAR
Receipf *
$66, 000 Dafe OCTOBER 28 1 q 85
SiteAddress 4309 FOX RIDGE RD
Lot 9 slock 3 sedsub. SUN CLIFF 5
Parcel No.
WZ IN,ma KEYLAND HOMES
2 Address 3471 W 173RII
b City JORDAN pha,e 435-3323
to Name _
Address
f- CitY _
Phona
W Name HALLOUIST
4K Address 5001 W 80TH ST
?W City BLMTN phone 831-1875
I hereby aGknowledfle fhnt I hove read this application ond state tFwf
fhe inlormotion is torrect and agree fo wmply, with all opplicoble
$tate of Minnewto Stotuteddnd CiN of .Eao6r1 Oldinonces.
Sipnofurc of PermiHee \-&!A-!
A Building Permit Is iuued ro: x
ull work sholl be done in xcordance
Buildirp Officiol
Erect ER occupancy R3
Ramodel ? Zoning R1.
Repair ? Type of Conn. V
Addltion ? No. Stories
Move ? Length 42
Demolish ? Depth 48
Int ImPr. ? Sq. Ft.
Install ?
ADOrevals Feee
Assessment Permit $ 331.00
Woter E Sew. Surcharge 33 . 00
Police Plen Review 161,5 0
Firo SAC 52$.?0
Eny. WaterCOnn 500.00
Plonner waterMerer 63.00
Council Road Unit 280.00
Bidg. Off.10 2$ g 5 Tr. PL 132.00
APC Parks
Var. Date Copies
Totel $2, 029.50
on the express CordiNon Ihot
u ta Stotutes ond City of Eoynn Ordinonces.
rnis reques, void
18 months (mm -?? I ? ? )
p$ 078917 / t- `?/5 3 5?.....z??r5
Renuest Date Fire No. Rovuh-in Insue ion
Requ e? ?HP
ndy NOw oLi1Y ?15PeC
IJ
I es ?Nn .
Ior When Re,atly
ic¢nsed,eieclric?COntractor 1 hareby request inspeciion of ebove
Owner l
? electncal work ins[alletl at
Sveet Address, eox or Route No. , City
3p '
ecllon o. Townshi Name or o. Range No. Coun
OccuGnnilPR1 Phnne No.
Pawer Si ier Atltlress
Elec ic.al n racmr ICompany emel Con or' Li r, se f?o
z?,7
J
'
Malli ess (ConVactor or w er skinp v[allaii n)
p _
Aut ized ign re (Co Ownor ?T IatioN Pho e Number
MINNE56y? STATE e_ OF ELF.eiflICITY THIS INS?ECTION REQUEST WICL NOT
GrigqsiMtidway BI Room N-191 BE ACCEPTEO BY THE STATE BOARO
1921 University Ave., SL Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone 1672) 291-2111 ENCLOSED.
Q REQUEST FOR ELECTRICAL INSPECTION ee-oocwi-oa
See instructions for comple[ing this form on Eeek of yellow copY•
? n 7M 7 X" 8elow Wak Covered by This Aequesl I,)<,
Add TyOe of 8uilding lianees Wired Eauipmen[ WireA
Home ange Temporary Service
Duplex Water Heater Lightiny Fiarurev
Apt. Building Dryer ElectrlC Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Oin, v neotv 001111 ISpeciivt
1 er ISUnclfy Other Oth?)i
.Compute Inspection Fee 8elow
M e Service EnLaneaSize p Fee Fexefars/Subfaxders # Fee Circaits
,O 0 to 200 Am s 0 to 30 Amps 0 ln 30 Am s
Above 200 Am ps 31 to 100 qmps 31 to 100 Ai
Swinvning Pool Above 100_Amps Above 100_/>mUs
Transiormers Irrigytion Booms n Partial.'Other Fee
Signs Special Inspectinn T
"'
Remarks OTAL FEE
L ?
Houeh-in
inal
r ?atn
, the Elechi J
??SpBCt, hBlBbV
cerlily thet the nbove
insDaction has baen
mede.
Tltlaraqueslvoitl/8montlafrom "" " ' -' ^` 'vr?
J?53991 9 a3
, 5'?
Request Date Fire No. iough-i
Require
[? Yes ion
No
eaEy Now ? Wil1 Notity Inapector
When Reatly?
X
lyl/ficensed contractor p owner hereby request inspection oi above electrical work at
Joo aaare Mprpom
L? ?^
? I
Seclion No. Township Name or No. anqe No. Cou t^
vl
OccuPa 6 k r_? IL W. / L i
PowerSup"Ier 0.tltlres5
mpa e?
ec, r c,
2 clor5 Lirense
o?o
A
d
o • r Ow r i tnstaionV(?' S o. M 1 s;(y,,,,n!55/ A /
?Uv?
Authonzure IConMakmg I? nstal - - u e= I> J
MINNESOTA STATE BOARO EIEt ICITV THIS INSPECTION qE0UE5T WILL NOT
GtlggsMidway 81dg. - m S-1) BE AGCEPTEO BY TME STATE BOARp
1841 Unlverelty Ave., 51. Paul, MN O< UNLESS PROPER INSPEGTION FEE IS
Phone (612) 640-11800 ENCLOSED.
J 53991
REQu TrSVELECTRICAL INSPECTION
? See instmctions lor completing this lorm on back af yellaw copy.
"X" Below Worlt CoveMrd by This Requesf
EB-00001-08
/OGa?Sa-
ew HBd Rep peofBuiltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Builtling Dryer Olher (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
01her (SpeCily) onhaclorS Remarks:
Compute Inspec[ion Fee Below:
# - Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pooi 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS inspetmr's Usa Only: TOTAL
?
Irrigation Booms /
Special Inspection
WlarmlCommunication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certiry th
t th
b
i Rough-in oare
a
e a
ove
nspection has
been made.
?
OFFICE USE DNLY
T015 request vaitl 1B monihs irom
ChTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUSLDIN6
091036
10/29/97
SITE ADDRESS:
4309 Fox RxoGF Ro
Lp7: 9 BLOCK: 3
SUN CLIFF 5TH
P.I.N.: 10-72979--090-03
DESCRIPTION:
FIREPLACE
NEW
434 ALT. RESIDENTIAL
REMARKS:
u3 r? ??. v{?. 4 EvW?'41S 8w'??
?
LZ "u s?
?°kv I lkg m- I ;
mmp
FEE SUMMARY:
Base Fee
Surcharge
7ota1 Fee
CONTRACTOR:
i
F
€;<
$50.00
$.50
$50.56
APPLICANT/PERMITEE SIGNATURE
OWNER: - qpplicant -
RUCKAVINA JOHN
4309 FOX RTDGE RO
EAGAN MN 55122
(512)452-1707
Ama R'oxj im?
- ISSUED Br. SSIGNATURE
1o L
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: Jfi-c?r5'- q7
DESCRIPTION OF WORK: ? CONSTRUCTUW FIREPLACE
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTFER:
PERMIT FEE: $50.50
_ ALTERATIONS TO EXISTING
STREETADDRESS: y3? f R7x- C?iGyQ VJ. ?
LOT BLOCK SUBD./P.I.D. #: ?
APPLICANT: (circle one only) AWNER' CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicab]e State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER,
Name: _R ,kuoma Sakn ? .Li'ekb Phone#: 4.?-2-17D`7
Signature:
Street Address:
City: C-claa n State: M_? Zip: Z z-
Company: ::A ' - 1 Phone #:
'
Signahue:
Street Address:
License #:
City: State: Zip:
GAS LINE Company: Phone #:
INSTALLER
Name:
Signature:
Street Address:
City:
State:
Zip:
PLEASE NC7PE: THE CITY WILL PROVIDE ONE COPY OF SEWER P,AID S+IATEF2 PERMITS
ADMINISTRATIVE COSTS.
CITY OF EAGAN
APPLICATION FOR PERMIT SEWM ADID/OR WATEE2 CONNECPION
1) PROPII2TSC ADDRFSS;
T•F1;AT• DESQtIPTION:
fh
klAt/i310CK/SllbQ1V1510R OY 7'dX Y3rC21 l.U. NUR1b2Y) ,
IF EXISTIW. STR[;C7q1RE, DATE OF ORIGINAL B[7ILDING PERMIT ISSL?APICE: 'j?? -
(Month Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FANffLY
R-2 DUPLEX ('IWo Units )
R-3 'POWNIOOSE (Three + L?nits) ( Lnits)
R-4 APARTMEN'P/CObIDOMIN20M ( Onits)
C0NA7ERCIAL/RETAZL/OFFICE
IAIDTISTR3AL
INS TI?[: TI ONAL/GOVERNMENT
2)
NAME: /`t e lQ/7ol 6007
rDnxESS: l 73,n!'Si
ciTY, STATE, ziP: ,rbr?n 6n;,nr, 5335 ?
PHONE:
3) • r.?•
ADDRESS:
CZTY, STATE, ZIP:
PHONE:
(DE17/)17C;1b)
PC) I-:3(-'? x a7Jv
prvo/' InL'e M,'nA
_MASTER LICENSE #
For City Lse
P1Lmibers ' cense
tiv
' ed
t Recorc
Staf iti
4) •• r i?•
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) ? « '?' • ??
kdCONNECTION TO CITY SEWER ZX CONDIECTION TO CITY WATEF2
p OTFTER (Please Descrihe)
6) u • • i
? PLEASE HOLD APPROVID PII2MIT FbR PICK-UP BY ONE OF ABOVE
? PLFASE MAIL APPROVID PERMiT TO 1, 2,a 4, APlJVE
^ (Circle one)
11~17 N-s-
F O R C I T Y U S E O N L Y
' PERMIT °: ISSUED
EEF S: $ 0 -
- V
SE::ER
PERMrT (I_`;C:.::D=_ SU°C?i?RGc)
$ 4"
a'
- WATER PERP4IT (IP7CLiiDE SliRCHARGL)
$
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE;dER T.?kP
'S ACC:OUN T D,F,P(1SIT - PIATER
$
WAC
$ SZS%uo SP.C
$ TROD7K WATER ASSESS:?E2.T
$ TRliNK SELaER ASSESS:IENT
$ LATERA L BENEFIT/TRUNK SETHER
$ LATERA L BENEFIT/TRWK ;9AT°R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ / Sl.? (_U Ah10IINT PAID/RECEIPT
DOES UTILITY CONNECTIOIV REQUIRE EXCAVATIOIV ZN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR *AOFtK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TFiE
E= NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI.LOL9ING CONDITIONS:
APPROVED BY;
TITLE:
DATE : _ a/ ?Si
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE (612) 454 8100
9Gt09CA7: "M
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 0?'7 ?'--
RXSXDEHTM PLEASE COMPLETE IIPYER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WEiEN PERMITS ARE REQIIIRED POR EACH UNIT.
-------------------°-'
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR U?
OWNER NAME
SITE ADDRESS:
IAT: f BLOCK ?5 SUBD.
INSTALLER:
ADDRES S : ?? ?' CG? • Ay,S?t?`) ?• ????
CITY:C/hZIP:
PHONE #:
99/ Ll-
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ ZS . T
STATE SURCHARGE: .50
TOTAL: $1s._?
SIGNA?RE OF PERMITT E
a/yr?'S'? ?ie?--
4 ? 6_?_v
??4MM?RCIAL/?f1DUSTRTl,"L PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
F:ACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SiIRCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
vihc
??n i.i.kl-a
?. •?
.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
--DL / g?1 --7? 651•681-4675
New Conshur.flon Reauirements Remodel/Reoalr Reaulremen
? 3 registered aRe aurveys showing sq. fl, ot loi, sq. k. of house
and 1 roofed areas (2017, maximum lot coveraae allowed)
? 2 r.opies of plans (show beam a window sizes; poured fnd. design; etc.)
? 1 set ot energy calculaBons
? 3 eopies of hee prefervaflon plan d lot platted afier 7/1/93
DAiE: 6- l 6 ^ 11
DESCRIPTION OF WORK:
STREET ADDRESS: ?I 5 0
?Z-A<
LOT: ? BLOCK: a_ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:P,(?,-IC aVa^-e. 7??1 phone#:65?-YSZ'36d
Last firsf
Street Address: y 3 0 ci Yk- e- vk- k
City R 0.y K? State: /4A v Zip: S? SI 1?
6/ -a- ?i z?Gz
company:Mt c?'-v?l.Tw4-e.L?J-, 1. 'Phone#:?s?
(area code)
Street Address: ?? ? I-)- r) License # 14 -) U Exp. 9- 0
Ci1y ?--, I `'- ^ State: /"k ti" Zip: 5" S' ! Z?
Company:_ C?4 /t'-? f.- Name:
Telephone #: arec code ( ) VL S C u^- tf"`-"h/
Street
City
Sewer 8 water licensed plumber (reaulred for new conshuclfon onlv):
2 copies of plan
1 set of energy calculWfons for heafed addiNOns
1 aile survey for exfertor addHlons 3 decks
CONSTRUCTION COST: ? 3 S, U J 3,0)
?
Regisiration #:
State:
Zip:
Penalfy applies when address change and lot change Is requested once permit Is issued.
.
I hsreby acknowledge that I have read fhis application, state that the InformaHon is cortect, and agree to comply wRh all applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinances.
r n 1?
q-!/n
Stgnafure ot
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
_ No
_ No _ Not Required
--?
.
OFFiCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage )R? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex 0 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
-lir"' 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. SAC Code D/
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinkiered
APPROVALS
Planning Building Engineering Variance
Permit Fee Sa?85 ?' Valuation: $ 3? ODU
Surcharge
Plan Review lA,Lt? ?
License yyg" X 25 = ! bo`tac7
MC/ES SAC
City SAC
Water Conn.
yy$x
'
Water Meter /6 -
?hyj? --
Acct. Deposit ?
3 ?iJ 39Z
S/W Permit
SNN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other +
Copies
Total: Ti 97?7a ?
SAC Units
% SAC
B
; KEY-LAND HOMES
,
NOTBc
O Denotes Wooden Stake
Proposed Garage Floor EI.= 9195
(9,9.0 Denotes Proposed
Finished Ground E1.
-.*_ Denotes Direction
Of Suiface Drainage
Vertical Datum - N.G.V.D. 2929
e
pro.?'no9 ? Uf;; •"` ?asemen/
y ?
,? Q
l6'
5 tB 7 `N
60
i 0 0
` (?
Q
q .
? kn
?, n•2 9?,.< ?- ; 10
i
sj
Ch
N ? d
__
`t O p P 2
? 0
? 30 N Q
25.7 ,u 22.6 I z (? i
/ t J
p
s
e7 ? 23? h
?
'
0
lz
Lot 9, Block 3, SUN CLIFF FIFTH ADDITIONs
Dakota County, Minnesota.
WE HEREtY CERTIfr TMAT TNIS li A TRUE AND CORRECT RE/RESENTATION OF A SURYEY OF TNE
KUNDAItIfS OF THE tAHO AWV! OFSClItED ANO OF 1ME IOCATION OF All WIIDINGS, 1/ ANY,
TNEtEON, AND All VISIOIE ENCROACMMEHTS. IF ANY, fNpM Ot ON SAID IAMD.
0at.1 rAis Z_I0r .) Ocfober w.D. H85 C. 2. WINDEN i ASSOCIATE3. INC.
?r ?? /? _ " '_"
fwtrMr. MiemofeN RMisfrafiiso Ne.272 6
, J
C. R. WINOEN & ASSOCIATES, INC.
IAND SURVEYORS id {48•3444 I
1301 EUSTIS SL, fi. ?AUI, MINN. 66108
040
Scale: 1'-30'
'v
G{ o Denotes Iron
Monument
?? Bearinga Are assumed
:tk.--:1 ? 3o N. C. BENNET7 I.,tP@ER (?0. 5!2E7044@7 F',01
d ? ., ? , .......... «...
???Mi.,, . . ?,
A44
`??Et'!`?...AOlfit?SS: • '
' WNTAACtOq:
a?. "' „?,L._? w1 DAYp E 7-. ?- R 9' OMON[ a
AETEAMiM$ ?tOI1K9MlE SQURRC #OOTAGI BF EACN:
8. TO7At. t7iiDSED 1lAi,4 RREA......... yq ft
(c
I. TtlTAl. 1lppFlC9ILINg AItE11..... . ?8 ??, 026 w?4
tc x '?i • „ tp _
1•?TOTAL gxraYFp 4Ml.L AREA tAttUtAt10MS:
Tacai tKgosed aalf
rrea a8ove flaor.. E I 47
a1 Total xill ?nledowr •rew:
jm.t;? 54 Yt x "U" q co 5,a
piezaad...... ? sq ft x ?Np
M) Total ---..??
donr srmA ......... `ts'_ _ aq dR x 'lUu
?? ?otaf sldding gloss daor aros; "
gTOZiQ. r..• ?.?.....sq ft 11C 9???1 J V7.7 r"'
R1it9d...... 54 ft R& r???e ? ?
dD 7atrl flruplaca waCi orsa 46°'
....A+.??e Yq t4 K''Uea
7'ot/a?B seati framtng awma
1/? y q
W6?!OO JOR) ........... e e i4 f t !f 11?? , ?? ? Z.L
?. •
f) Total net wetl rroa rbeve
ftoor (IRfuT4tad),.,,,,, t?oS ?
sq ft x 'iull
91 Total rim julst erea...... aq tt ?L4 7
Y'°res ro+n?dOtlon
erma SExpotnel..... ..... g4 yt
?D roeot tounaacNon '
aledaw •ra* .............. rq 0E x '"U"
+t voe:r fi.e r.und.Eron ' }'?
?Fl? ?dpY1 'fOdRR.s?ar.?? ? Z V
iQ'°f 4 Y ` p4.gY . . , p ?
V U
?. ,c , . ...?___. . . R
TIlTAL e) !h!u 1) e ° ? ll?
IY lia?rn Iy Is Rhe seAas rso o?
2 PECAIt 1,15008 A md d i?ass xhrn itam Ft. Y+?u hsvar ?t ahe
lr?ta?t o?
, ,
, (4' ?•. .
{
. . . . . , ?i6 v!S': ,pd: .. '. .??x?.;?,. a ;? •.
}
TJL-23-1993 11;39 N.C. EEtvJE'"T LL.1BEP. ^_0. E1c8?r4AQ7 F.02
4. 7DTAL 9X?0{[D ii00F/CE1lING tAiCULATlFk4:
Totet itxposeb
ra0i/C*111rt9 Blas......., aq ft
)1 'Fotoi skyliAht enr....... ? $q ft ¦ •4j" ?.,,° ..,?..._.?.
k) Teeat roof/cailtnq /rapln4 •
YQ
Aras (AwraAt I4k) ...... s4 ft x "1!" I,,,,,^ .
11 Toat no4 tnswtacma
`
"
"
O3 •
),.- r
-CO3 aq
„ eoef/c.t1!»V oro........ Pt x il . .-
L. TOTAI !1 thru 1)
Ii total 09 06 Is the samo as, or leff than P2, you haaw i+rot el+e Intant o/
7 MGA 1.16008 A aad 0.
ALTEIVIATE 0UF10lNr. ENVElO*[ nES16N
To utlllz: the tatsl •nveiape •ystom netAod, the valusl •stob1lshed by the sum
of ltena l) end A nhall not bm yruter then ahs sun of ttems Pi and 02.
•t rf
( . ? 4 1 •='- a 2.
? 4. J 2^ ; q 9
C E R T 1 F t t A T 1 0 N
! hprepy eart6fY eMt 1 have es4catatad the "U" factors and "II"
vriws Aerela and that the lulldlnn hare dmscrILed aisotu or axe*eds the State
ofi MinnesoL• [aarqY Conservrtion Ace, ,••
' ?slqQWtu?B _?? °
,!er.. ..
' 7 - ?. ^4 ti
CD.ce1
Pase z
?.. `_. . . .. . ??
... ' ' JL,L-73_•:gc?a l.i:zy
13
--{1 InittlOr 01r flln A.,A
2
?O1 OV
-?.,.,R E? l17
r
i `d?ter o r r
SU?AYtO?1 RE{jUl?tED: TOTAL
entire waSt OR UT/8
°
- tY. -own
to lrost 7e`pth
roukoarsaIr secriow:
_?.? -{0 Incerlo? ala fiim t1
RR
„?? ..
? ,
a;r"?p -
i4 xter a? a -rroro
A
( : b•. a?i,?- /?I Y f b
A :../' .. 7 Pl W 5
?-? «
? t.v SLAR pN GMDE
0
. q
!4{I • o . pti.?
RIM J605T SCCYlhtl:
?
1*1
A
ANtMB SECTIOM:
WM.I SiLTipN (IMSULAY[D)
i
a
0 •; ":a
heated Slabs:
Mfnfmun R u 0:6
? ?, ? 1ws4. Ufeheated SleAs:
'd ' Minfmwr
,.••v R a b . 2
d'd '4
,
N.C. : ENNE'T LUf1BEk CU.
???1,,. '??•«, -A 1 ;v.,..q-.
`?, .,, ,?' ? . •; ;v...•;'°:
; <?] <? • ? q . • . ?..a ???
`? T' • + $ . j1 •?r I? ?: \ n ?• • I ??"
? . •. . ,v.
.. .
,ai , m •v'?',:'•? • .
.• • ?." ?. ,,,
•i - ' : ??
?.a. , ?. . .
p •'.?? ?
' ?.
Pese ?
U e 1/R p .'a
U ¦ Q/R a .Cly
JuL-13-1995 aeNNeTr uUrlHe!q CU. 6ti26713?aw? F.ea
, CONSTRUCTRDN R V? ALIiC
CEt41HR SE{'PSON (INSULleT[0);
f In rior el f 9en ",__,_„?
2 --•
? .
d ie r or e?r m at111?. a'
. OT 141it ? "L'CilU m IrR w IaL
?
CElIINf> FKl1MiNR 56CTlONr
1 I erlor air Ilfm n.P,o
4 n'ftarl'or r r iiim it171) n,h'1
5 ._'R L 11Ch!! SO r MOta .'C
u - i!a d _.:SJ3
?
i% ..
! Z ? 4 rJ
cCellnr. S[GTION (insuLaTers)=
1lnterlor atr filn ?.Ry
2 ...
j - - -
h .xtar or a r rn tt n. I
wK 0-
U - 1 /il " ..??
CFlLtNfi {'{{AMitNi 5EC716t7:
1 irtterlar oIr F11M n.(+1
t
;
L xter or p T film SS?-n7i+
4 Inchea so R wao
TOTAL R ?
U m 1dR -
?
1 Insids slr f11no ?•??
7
7 •
6
5 uti de • r ro ^.a
TOTAL R
u ? ' f R ° -
PBse 4
YC'Ti?i! F'.:34
VEN7E.q
S-S31-?
RESIDENTIAL BUILDING
Permit Applica8on
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConstrucEOn Reauiremenb RemodeYReoair Reauiremen6 OfFCe Use Onlv
3 registered site surveys shavirg sq. R of WL sq. R of house; and LU roofed areas 2 nDpies ol plan _ Cert of Suney Reod
(20%maximumbtwverapealbwed) laetolEnergyCakuWfiorelorheatadadditiors _TreePrasPlenReW
2 copies of plen showing beam 8 wiMow saes; poured tound design, etc. 1 alm wrvey fa addltlons 8 dedcs _Tree Pres Not Reqd
7setofEnmgyCakvmtloru Adddiun-uM'cefeifm,* mptlcsy4em _On-sAeSepticSystem
3 copies of Tiea Presenatlon Ptan if Wt qat0ed after 711H3
Rim Jobt Detatl Opfiorq sekctlori slree[ (hWgs udM 3 w less uni6
Date 9 / t 3
/ U ? Conapvction Cost ?9 U ?•a j 0
?
Site Address _ ?'i > U q ro 'C ()? : d( y -, r- 4.
J UnitlSte #
Descriptlon of Work ?? Kr d??' ?Z" ?{'2 CA u;
MuIH-Fam7y Bldg _ YFireplace(s) _ 0 _ 1_ 2
Property Owner V?- C/C w(C 0- Telephane #(65I )2 S 1- I-J 0 '7
Contractor
Address 1 0 L,?'? ?. ?'r? (.? c. City
State Zip ???? Telephone #( b r i) 6 g I?
?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Mimesota Rules 7670 Cateeorv 1
• Residentlal Ventilatlon Category 1 Warksheet
(J submissiai rype) Submitted
. Energy Envelope Calculatlons SubmitEed
Licensed Plumber
Mechanical Coniractor
Sewer/water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Cade Worksheet
SubmiUed
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wilt be in confora?ance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appmval of pians.
IA ,^ (il. 4 til T ?J C vS??
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 73 16-plex ? 20 Paal
? 02 SF Dwelling O 08 08-plex ? 16 Flreplace ? 21 Porch (3-sea.)
? 03 Ot of_plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 0 18 Deck O 23 Porch (screeNgazebo)
? OS 03-plex O 71 10-piex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ptbp_Y w_ N O 25 Miscellaneous
Work Types
O 30 Accessory Bldc
? 31 6ct. Alt - Multi
O 33 Ext. Alt - SF
O 36 Multi Misc.
? 31 New O 35 Irrt Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addfion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 WirWows/Doors
? 34 Replacement •Demditlon (EMire Bldg) • Give PCA handout to applieant
Valuatlon Occupancy MC/ES System
Census Code Zaning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Widfh •
REQUIItED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Faotings (deck) FinaVNo C.O.
_ Footings (addition) _ Ptumbing
_ Foundation HVAC
_ Drain TIle Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco Stane
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ geWning Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
TreaUnent Plant
License Search
Copies
Other
Total
Building Inspector
. ?
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED 1iITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OE SURVEY
&?xlno 1 SET OF ENERGY CALCULATIONS
To He Used For : ?b-6aluation: 1 ` Date: zj?
Site Address: d FOFFICE USE ONLY
Lot: ? Block Sect/SubErect
r--? Remodel
Parcel 0 Repair
, Enlarge
Owner Move
1 ? Demolish
Address ?:j ` Grade
City/Zip Code
Phone ?
`f - f ;
Contractor ) 12
Address
City/Zip Code
Phone
Arch./Engr./`?`rt'-?,? lr
Address
J J-? I C.fJ ?` CJ
City/Zip Code??-c-/'.-^-
-?7
Phone #
APPROVALS
k Occupancy
_ Zoning
Type of Const
_ # of Stories
_ Length
_ Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road--Hrf{t
Bldg Off??rks
APC Treatment P1
Variance
TOTAL
R•3
R I
Q
142-
48
33r,
33,
I co5 ? $0
5 Z?S,
S?.
!0 3 .
2g0,
???? ?U
? ?' ?•Y ??x v ?1? ?'
2c x Z z' 4 4o x i 2- 5 zBA,
??. •ti ,
i
?
?S(nO0
___ _ . .... _ . . , . . . ._
f? . . ?
?
FOR: KEY^LAND HOMES
,
NOTfi:
O Denotes Wooden Stake
Proposed Garage Floor EI.= 9195
(9iq,? ) Denates Proposed
Finished Ground E1.
,..*- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 2929
`vauplw
47
C. R. WINDEN 6 ASSOCIATES, INC.
tAND SURVEYORS [d, 648•3644 I
1341 EUSi1S ST., ST. ?AUI, IAINN. 56106
Scale: 10-30' Iy,
o aenotea Iron I\
Monument -
Bearinga Are Assumed
aro.?no9e
v
I 1?
° 2. 3' 5.4 W
S 87
I a
?
i o.eo
N ?- O
917 < r ' (°
f ? m ?-? ! f W
?-
? N?}
?d P o p,? ?-
o
"^* -Y I l0
o ((?
J
N
?-
N lQ 0 o
ez 30 ?9
N `
Q
{ N
25.7 u Z2.6
?
?
1 ?
?
m t ? -J
• /?
/> iA6•68
?
'
?
?
s s.
21
e7 ?
&Z
Lot 9, Block 3, SUN CLIFF FIFTH ADDITION,
Dakotn County, Minnesota.
WE MEREBY CERTIFY TMAT TNIS IS A TRUE AND COARECT IEtRESENTAiION Of A SURVEY OF TME
WUNDARIlS OF TNE IANp AWV! OESCRItEC AND OF TNE IOCATION OF All SUIIDINGS, If ANC,
TMEREON, AND Alt VISIStF ENCROACNMENTS. If ANY, ilOM OR ON SAID IAND.
pated Ibis 7 LA /or ?f oc?obe/ A.D. 1985 C. R. WINDEN A ASSOCIATES. INC. ..
Swr"*r. Miee1soN Rovistntion Mlo. 772 (o
EJ(TE2f01t ENVfLOPL nvriinr,r °u^ COMI'IiT
OWNER
nrcrr:
SITE ADDRE55: PIIONC
CONTRAC70R:?1 ? 4 ?..?e?,+s _
-?y'-~
Determine workiny square fooka(le of each
1. Total exposed wall area..... ljjj__sq, Ft, x.11 = z1z),s
2. Total roof/ceiliny area..... l-?p s(l. fl. x_02G ??
{- _
Total exposed wall area af)bve ('loor=---171k_
a. Total wall window area ................. ........
b.
Total
door area . .
?? ????
c. Total ...............
sllding glass door area..... ? .
........
d.
Total .....
fireplace wall area ........... . .......
.. .. .....
.
?
??? '
e. Total wall framing area (average lON) . ......... .................. ?
f.
9. Total
net rim Joist area.. . . . . .... .........
mall area above floor ... ........ .................. ?L
h•
' .......
wall area above floor..
....
. ......... ..........
????????
I. •
.
wall area above floor ..
..
. . . .
.........
. .
..................
J. frame all area at foundation..
...... . . . . . . .
......... . . . . . .............
....:.............
Totnl exposed foundation arca=
k. Total foundation window area ....... ?
1. Total ...
net foundalion area above grade . .........
......... .... .
...._??e ?o
Determine "u" value of eacli wall
' segment
(e.9. window, door, each separate wall section)
a.?, ^ x U„i
b• 38 z „U„+ .31
? C. 40 x ,.UI.
.
?. x „U„
e•
x „U„
f,-L33?
Q4 _
- -
?315 z u.'
e• •nS
_
h. X olut. _
1. x IOU., _ : .
J. X „U„ _ , .
k
X "U"
• ? ,--?o? __ X Q?---?-?-
3 . .................................Total . 14 C./.,
If item R3 15 the san;
as, or lcss than item
N1, you havr, met,the
inlent o( i0C.6006 (C
. .
. Ci:•?rior. Gnvolopo nverngo "U" ComputaL•ion Page 2 of 4 ,
ToL•al expo::cd root/ceiling area
?
m. Totul skylS.ght Aren ........................ ?
n.'Total rooE/ceillnq-framing area (avernge 104.)... fD{ .. ..
o. Tol•nl nok insulaled roo.C/ceiling isrea...........
Uetermine "U" valuc for each roof/ceiling segment
M. -- x ..ul. o
x „U„
. '
a . ............ ......... Thtaz = Z?,Z
Tf total'of 1114 is L•he same as, or less than 112, you have meL• hhe inLenl- of
SHr 60Q6 ,(c) l.
i
Alternato Buildinq finve]oLe Desinn
'lb :ut3liza the total enyelope 'system method, the values esL•ablished by tJie sum of
i.tens 03 and 44 shall not be qreater L-han tlie siun of items 01 and 112.
u :
].. 7-?D. s '?• 2. ?.37.9. .
3 • ---L? ? + 4.
_ ZI •Z = ? ? lo ? • . .
I'.lyu 'S't:n
4)A1,4 tCr,'17fq?;1
uf iNioulian unll oren foc
Irnm,: cunrlrucllun
SIC ,
n i.t. ,
, ----0!
.._.-----?
..-.._ 1G?
C??n
.. . •:l rn?: l f r,n
.. R-Vc1 l u,1
„"k'?;?N11., .........
1.
' 1nl??.lt??'._:l?J..l i,?m .
i .._.-----••...._ l)?f;?J
• _
_ ?YP.._. gD._ . . . . . _....
. .. ...
?•
3'? '..?u:??c?_ ::,? i. ,,,. ?
,,?
4, •_CF?t.?X.. ._.... ?. .?_..._.__.._..,?
?
o
..... ..... .
..
. ........_. . . ..lo
6. F:r.lcrii, r .%.t[ (ihn
---- --- __ ._... .. .. o- U.1T
.
- •----____
_.. _...._.._
_
Z.2'j
u=.?a
INSut,.
1. infr•rl?.r nir !31m (.GII
z. 45
?. 1a".. i,?s?.?__.
i ._._------•?3?
a. kLo-r.l?.x..._........ ..----._.__ •---b..?
5,
5 tv.wb... __.._. .
G. .
ExCCrior :jir Cil?.i ..._.... ._._._.... . ....
. • 4..17
T„L.;I?' Zo:q
. 2 a r..?
U.f,ll
z. JN?u4.....3.?y'B. . _ _.._.._...J3?Q
3.
_.Z1LLD............. ._..__
_....._
a.
5. '..__S.fDfNC?._.._.. .._. --^-••--•.-.____..(o.Z
6. t.xtn,rlor air f.ilm
-••-- t1?1.7
,Colril
.
v=.o9
•I n'. . ?..I
?----?- -O
--^^----(?
atr...fil!a ..-----..__......_.O.C,?
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2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauirements RemodeURepair Reouirements
3 regisYered site suneys showing sq. R. of IoL sq, fi. of house; and all roofed areas 2 copies of plan
(20% maximum bt coverage allowed) 1 set o( Energy Calculations for heated addifans
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & dedcs
1 set of Energy Calculations Addition - i/ro'icate if on-sife septic system
3 copies of Tree Preservatiam Plan i(lot platted eRer7/1193
Rim Joist Detail Options selectlon sheet (bldgs wilh 3 or less unils
A loo_-?o
? an?
?i? ?? ?
? .. i ???..?
?,? .?
Date .J I)O? l0 q Construction Cost 33? I/ I ocr-
SiteAddress UniUSte #
E ?
Description of Work
Mul6-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner + Telephone #(InS? ) ?lejz' 170 ?
Contractor _en vi
Address U-E City ?
State /61 !U Zip Z Telephone # (%a )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enei'gy Code Ca[egory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+1 su6mission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber L' Telephone #( ?
i ?? ?tit 7uJ-,
Mechanical Contractor i, : I? Telephone #( )
Sewer/Water Contractor t.,.. ? --! Telephone # ( )
--' _ _---- - --
I hereby apply for a Residentia7 Building Pernrit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
<
C
?y ?Ci?' ¢t?'.?vct
ir•kjo A'
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex x 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-ptex ? 12 12-plax Plbg_Yor_ N ? 25 Miscellaneous
Work Types
$ 31 New
O 32 Addition
? 33 Alteration
? 34 Replacement
Valuation OU G7
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ? V?
_ Footings (new hldg)
_ Footings (deck)
_ Footings(addition)
Foundation
Dnin Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insularion
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
f?
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIREDINSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
?C Pool ? Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: T& , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment P1ant
License Search
Copies
Other
Total
R, %
.
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
`1?P- aS
a.- " eDOL j0vo
l, S b Golorri'a
loc?.
?
' POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
d
?
?
U
?
zd
o ¢
? ? ? Applicant - name, address, phone & fax numbers, signature
I? ? ? Properly owner name
? ? Legal description and address of property
? ? North atmw, scale (1" = 30' or 40') and date
? ? Location and name of a11 streets adjacent to property
? ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed
structures(ttnCC 'r,)
? ? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existina
R ? ? Hoase corners
Z[ ? ? Property corners
21 ? 0 On properiy lines at point of ineasured dimeasion to pool (see below)
? N ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Prooosed
? Cl ? Finished pool deck corners
? 9 ? Top of retaining walls (if any) and at each different elevation (if it changes)
1N 0 ? Pool bottom (or max. depth)
Existinst
14 ? ? All property/lot lixtes
Proposed
H ? ? Pool
? ? D Pool plus integrated deck/patio
IK ? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name
Date
G:/CECH/SR 2002lPool Pemvt Chedclist
? . ?^
,- , #;nak C. R. WINDEN A. ASSOCIATES, (NC.
?
? ????G?? IAND St7tvErORS Tai 640•3646
13g1 EUS115 ST., iT, tAUI# MINN. d6106
; KEY-LAND HOMES
NOTB:
0 Denates IFVOden Stake
Proposed Garage Floor 81.? 919.5
f919.zJ Denotes PmPospd
Pini<hed Gmund 1:I.
Denotes Direction
op SLrface ArainayeV.D. 1929
vertical Datum - N.G.
I o`
-7 t 61 "
10 ?
oga y?
Scale: 11-30'
o Denotes Iron
Monument' -
. Bearinga Ate assumed
. ?
,0 Uf:l,.; e/ ?asamen/
14 6.6s
07 ° 23' SL"W
?
I? N
z
?
??
r
It
Q
?
Q
?
w
L!
?
?n
`J
Li- _
Lot 9, Slock 3, SUN CLIFF FIFTH ADDITION,'
Dakota County, Minnesota.
WE NEREIY CERTIFI TFIAT TMIS If A StUE ANO COORECT REIRESfNTATION OF A SURVEY Of TME
KUNOARiti Of THE LANO AWV! OESCl1StD ANO Of T=M! IOCATION OF Alt WiIGING3. IE ANY,
TNERfON, ANO All VISIOIE ENClOACM1aENT1. If ANY fROM OR ON SAID LAHD.
7e, My *l?C4--A.D. H$'S C. R. WINOEN i ASSOCIATES, INC.
APR u a REC'D
frr.e?wr, Mien?wN RMianfi?? N?. 772 (o
Use BLUE or BLACK Ink
For Office Use
Permit City of Ea~~~
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 155122 ; Date Received: Dl r I
Phone: (6511) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
c, I -n
Name: ~.rz . 51- U_ G ' Phone: Resident/
Owner Address / City / Zip: 5Z'-r~
Applicanit is: Owner Contractor
Type of Work Description of work: 9c .,✓,w
Construction Cost: ; C_> -X'3 , Multi-Family Building: (Yes / No.
x Companly:~ ` . Gi Contact:/,
I Address~t I~ City: r ~t
rat r ia^ 2~
Contractor I
ti
t State: - Zip: Phone:
Licensee It Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has th'e City of Eagan issued a permit for a similar plan based on a master plan?
I
f
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Buildin ode must be completed within 180
days of permit issuance. ,
i
J/JdLt/f
x ' x r
Applicant's Printed Name pplicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA117176
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4309 Fox Ridge Rd
Lot:9 Block: 3 Addition: Sun Cliff 5th
PID:10-72979-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John C Rukavina
4309 Fox Ridge Rd
Eagan MN 55122
(612) 801-6263
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
I
Use BLUE or BLACK Ink
41°. For Office
�f
Cityo
f E� all ice UsPermit Permit Fee: `t
�0"
3830 Pilot Knob Road
Date Received: q`',0?747
Eagan MN 55122
Phone: (651) 675-5675 Staff:
buildinginspections at7cityofeagan.com
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 9/20/17site Address: 4309 Fox Ridge Road
Tenant: Suite#:
czcv
?w
Name: John and Vickie Rukavina Phone: 612-212-9585 John
Address/city/zip: 4309 Fox Ridge Road, Eagan 612-452-1707 Home
Name:
Farr Plumbing and Heating License#: PC643680
544
° Address: 2525 Nevada Ave. North, Suite 104 City: Golden Valley
4 _ � *fito
MN 55427 763-432-9009
State: Zip: Phone:
Gloria or Jeff Quinn eff farr lumbin dhtin com
Contact: Email: p ganeag
New Replacement _Repair _Rebuild Modify Space Work in R.O.W.
Description of work:
Install Water Heater
RESIDENTIAL
1 Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
R*rn
��
Septic System Add Plumbing Fixtures(_Main/_Lower Level)
New Water Turnaround
'JAM 1,AP'404
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround`(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required) 60.00
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
XJeff Quinn
Applicant's Printed Name A I ant's Signature
FOR OFFI oUS d Vit °
Required ec i on :`�: ,. �, �if rtt a off P 4 IY Y _
E� � � t Jnefer �pund �u
tel R late Iter : mer ize,, tp F a s na„ er a , ,